Senior Clinical Long Term Care Quality of Care RN - Southern Arizona
UnitedHealthcare
Tucson, AZ
19 days ago
$71,600 - $140,600
Job Description
Join UnitedHealthcare as a Senior Clinical Long Term Care Quality of Care RN and make a positive impact on the health care system. This role involves reviewing clinical documentation, creating case summaries, and collaborating with medical teams to ensure quality care for patients across Arizona.
Key Responsibilities
Perform clinical documentation review of inpatient and outpatient care.
Create professionally written case investigation summaries for Peer Review.
Review plans of correction from providers in response to Quality of Care occurrences.
Interface with external customers and providers to resolve quality of care concerns.
Conduct delegated oversight reviews of contractors.
Collaborate internally with Medical Directors and staff.
Manage multiple tasks and projects and changing priorities.
Maintain timeliness for deliverables and regulator requests.
Work independently with good critical thinking skills.
Occasional on-site provider visits for potential Quality of Care concerns.
Required Qualifications
Active, unrestricted RN license in the state of Arizona
5+ years of experience working as a Registered Nurse
1+ years of hospital experience as a Registered Nurse
Long-term care nursing experience
Experience evaluating and auditing medical records
Intermediate skills in Microsoft Office, Word, and Excel
Resident of Arizona
Willing or ability to travel 25% of the time within the state of Arizona
Driver’s License and access to reliable transportation
Preferred Qualifications
Quality Management experience in a healthcare setting
Experience analyzing information and preparing written summaries
Experience working in a deadline driven environment prioritizing responsibilities
Knowledge of Medicare/Medicaid regulations
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution